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uh not really but generally during work times | Primock57_0 | |
um i take the pill microgynon | Primock57_1 | |
no it's pretty green | Primock57_2 | |
yeah sorry to hear that yeah no um and uh any other symptoms so for example have you any uh any sore throats any ear pain | Primock57_3 | |
yeah uh my name's | Primock57_4 | |
there are related conditions no ok that's fine | Primock57_5 | |
ok uh and is it any pain when you try to move your neck from side to side look up and down is there any pain | Primock57_6 | |
um and we can definitely increase your um your furosemide uh to you know one tablet twice a day | Primock57_7 | |
uh no i did uh i did uh a little bit ago or a couple of days ago try some uh over the counter bicarbonate to try and help with the pain but it wasn't it wasn't really helping | Primock57_8 | |
no no no shortness like yeah i'm breathing fine | Primock57_9 | |
ok all right then take care bye | Primock57_10 | |
below mainly below | Primock57_11 | |
uh it's it's uh type two two aye type one aye aye 'cause he said the doctor i spoke to he was sort of saying like you know as a bigger guy it's it's kinda it's kinda like yeah and | Primock57_12 | |
sure sure | Primock57_13 | |
fine and apart from all of these things that you've told me do you have any other medical problems | Primock57_14 | |
and again it's only for three days or three or four days | Primock57_15 | |
i am indeed yes | Primock57_16 | |
if if you're you said that when you go to bed your headache's ok and not waking you up in the night time | Primock57_17 | |
um and if you increase it so you're taking it two to four puffs like every four hours | Primock57_18 | |
uh yesterday | Primock57_19 | |
um a couple of months ago i got it three four months ago | Primock57_20 | |
ok and where do you work what's your job | Primock57_21 | |
and your breathing is getting really worse then you would need to take yourself to a and e you shouldn't wait for our appointment | Primock57_22 | |
uh yeah i'm allergic to clindamycin | Primock57_23 | |
um so i can send you the link for that | Primock57_24 | |
no it was just it was that time uh but it was just really weird because it kind of went on for a while | Primock57_25 | |
ok and how often do you do gardening | Primock57_26 | |
ok alright fine um in terms of your past medical history do you have any other conditions at all | Primock57_27 | |
uh it's type two | Primock57_28 | |
that's correct and just to confirm that you're in a secure location and we can have a confidential conversation | Primock57_29 | |
does that sound all ok | Primock57_30 | |
you have any inhalers or any any medications | Primock57_31 | |
uh maybe a little bit but | Primock57_32 | |
ok sure | Primock57_33 | |
ok alright um and socially sir just tell me a bit more about your situation at home who lives at home with you | Primock57_34 | |
do you have any questions for me | Primock57_35 | |
i'm an i'm an accountant | Primock57_36 | |
you know i had a cold last week and it's not as bad as it was but yeah i had a sore throat i had a runny nose uh just feeling under the weather | Primock57_37 | |
ohh right right aye sorry you mean i'm looking ah right yeah uh no i i don't i don't really like to look you know to look at it so i i i haven't haven't tried to do any of that | Primock57_38 | |
yeah sure um ok well i i would quite like to uh certainly get you some uh ventolin clenil modulite have you had asthma exacerbations in the past | Primock57_39 | |
mm hmm | Primock57_40 | |
um i live with my partner | Primock57_41 | |
hi uh my name is doctor kumar i'm one of the gps here can i just get you to confirm your name and date of birth for me please | Primock57_42 | |
what i'd like to do now if that's ok john is i'd like to have a look inside your mouth ok | Primock57_43 | |
and when you mentioned pink urine do you was there any blood at all in your urine or was it difficult to say | Primock57_44 | |
uh just it's just me and my partner | Primock57_45 | |
ohh um i live alone | Primock57_46 | |
no no | Primock57_47 | |
walk or run | Primock57_48 | |
i've tried a few things like i bought a a steroid cream at the pharmacy last night but it apparently didn't help because it's still itching a lot today uh yeah | Primock57_49 | |
uh i take melatonin sometimes you know just for cramps i'll take like uh um ibuprofen or actually uh i'll take what am i taking aleve whatever aleve is | Primock57_50 | |
so it might be i don't know uh i've i don't know | Primock57_51 | |
um and basically those tests we we'll have a better idea in terms of how we should proceed but certainly it if it's been going on for the last couple of days um | Primock57_52 | |
well i wasn't really paying attention so it must have been like must have been like i don't know half an hour maybe | Primock57_53 | |
yes but i've had spotted uh blood in my urine spots | Primock57_54 | |
that's ok that's ok and you mentioned a runny nose um again what kind of discharge is coming out is it clear or is it a bit more coloured | Primock57_55 | |
ok do you have any pets at home | Primock57_56 | |
ok and and so just to summarize so far if you don't mind it's really for the last couple of days it's tummy pain that's really affected you mainly lower down towards your belly button it's quite burning you said it's getting worse um you noticed some pink urine | Primock57_57 | |
and um i just felt like i i needed to call you guys and needed to get some some more information about what could be going on | Primock57_58 | |
so it's my lower tummy | Primock57_59 | |
um it's it's not too bad it's sort of like a stinging kind of pain um | Primock57_60 | |
in your ok um any change in your bowel habit any weight loss or anything | Primock57_61 | |
uh yeah yeah yeah i'm just i'm | Primock57_62 | |
right fine otherwise other than those rash you're feeling well in yourself there's no temperature no joint pains yeah no fever | Primock57_63 | |
ok all right um and um you're up to date with all the vaccinations hepatitis b and that kind of thing | Primock57_64 | |
um like i don't know whenever i like breathe deeply i it sort of catches in in the right hand side of my back | Primock57_65 | |
assessment to where we can see you today at some point | Primock57_66 | |
yeah yeah yeah | Primock57_67 | |
hi there i'm doctor smith from babylon | Primock57_68 | |
um but it it's not helping | Primock57_69 | |
so it means if you're if you're there and uh you just feel it sort of jolt like give way feel unstable underneath you | Primock57_70 | |
um so it just feels like the the fluids do go down but it just feels like it's going straight through | Primock57_71 | |
occasionally | Primock57_72 | |
um i was relaxing | Primock57_73 | |
ok um | Primock57_74 | |
ok so ambulance team will be with you very shortly i'm gonna stay on the line with you until they come | Primock57_75 | |
um so there was some like slight uh blood in the urine but like it was a little bit pink but | Primock57_76 | |
uh no not at all | Primock57_77 | |
ok and do you smoke or drink alcohol | Primock57_78 | |
mostly it's been dry and red | Primock57_79 | |
ok so like cetirizine yeah | Primock57_80 | |
ok alright | Primock57_81 | |
no there's no urgency um yeah no pain or urgency | Primock57_82 | |
k and um you mentioned you had asthma are you using any inhalers at all | Primock57_83 | |
i don't know i can just sort of feel it more you know um but i've i've also i've been feeling a bit like a bit tired at work | Primock57_84 | |
uh my name's itha and i'm twenty six | Primock57_85 | |
is it two to three days or longer | Primock57_86 | |
and then and then i know it's time to go right so around every hour i just feel something come up and then i have to go so yeah i mean that's that's the kind of the first sign | Primock57_87 | |
and what time do you get to sleep | Primock57_88 | |
ok and um have you noticed any other discharge from down below so from from the front passage | Primock57_89 | |
ok | Primock57_90 | |
uh not that i'm not that i'm aware of you know i mean what what are the what are the allergies you get just you know nah not | Primock57_91 | |
you got it ok are you sure | Primock57_92 | |
right uh all right i i'm really a bit worried about you at the moment maria um i think we need to call an ambulance because um from what history you've been telling me it sounds like you could be going into what we say an a an anaphylactic reaction that's when your throat and your chest you know closes in and you might... | Primock57_93 | |
i don't know it's like not necessarily like spotting but in like in my my pee is like a little i suppose i think i thought it was my period it's like a little bit pink | Primock57_94 | |
sure i can make time | Primock57_95 | |
yeah that's that's over the yeah over the counter you don't need to any chemist will have it you don't need a prescription for that yeah it's probably cheaper to buy it over the counter actually than to get it via prescription | Primock57_96 | |
ok have you do you use any form of contraception | Primock57_97 | |
the pill what kind of pill is it is it combined pill or the mini pill | Primock57_98 | |
um so we can we can make you an urgent appointment um and then you can you can get the sample sent off and we can check your hydration um but if in the meantime you're feeling more unwell then we would get you seen urgently in a and e | Primock57_99 |
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